Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL
Middlebury, VT
See all hospitals reporting CPT 70486 →Price type
Porter Hospital Inc’s median price of $109 is 66% below the median hospital's median price ($321), higher than 8% of the 2,630 hospitals reporting CPT 70486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $26.78 | $26.78 | $26.78 – $26.78 |
| 2 | Humana tricare professional · fee schedule · both | $36.52 | $36.52 | $36.52 – $36.52 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $38.44 | $38.44 | $38.44 – $38.44 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $38.44 | $38.44 | $38.44 – $38.44 |
| 5 | Bcbs Vt medicare advantage professional · fee schedule · both | $44.21 | $44.21 | $44.21 – $44.21 |
| 6 | Cigna commercial professional · fee schedule · both | $55.54 | $55.54 | $55.54 – $55.54 |
| 7 | Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both | $71.38 | $71.38 | $71.38 – $71.38 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $78.34 | $78.34 | $71.98 – $84.69 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $88.39 | $88.39 | $88.39 – $88.39 |
| 10 | Humana tricare facility · fee schedule · outpatient | $101.02 | $101.02 | $101.02 – $101.02 |
| 11 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $163.77 | $163.77 | $163.77 – $163.77 |
| 12 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $201.40 | $201.40 | $201.40 – $201.40 |
| 13 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $934.83 | $934.83 | $934.83 – $934.83 |
| 14 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $934.83 | $934.83 | $934.83 – $934.83 |
| 15 | Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 16 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,551 | $1,551 | $1,551 – $1,551 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,809 | $1,809 | $1,809 – $1,809 |
| 18 | Bcbs Vt indemnity facility · fee schedule · outpatient | $1,874 | $1,874 | $1,874 – $1,874 |
| 19 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $1,874 | $1,874 | $1,874 – $1,874 |
| 20 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $1,890 | $1,890 | $1,890 – $1,890 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,969 | $1,969 | $1,969 – $1,969 |
Last updated: Apr 28, 2026
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